Gayle M Theberge

NPI #1477737195 in Berlin, New Hampshire

Provider Information

NPI Number: 1477737195
Entity Type: Individual
Name: Gayle M Theberge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 18, 2007
Last Updated: Dec 18, 2007

Practice Location

Address: 3 TWELFTH STREET
City: Berlin
State: New Hampshire
ZIP Code: 03570
Phone: (603) 752-7404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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